Hip Surgery May Fully Restore Function

The researchers at Rush determined that 78 percent of athletes suffering from hip labral tear caused by internal ball and socket joint damage to the hip also known as hip femoral acetabular impingement (FAI) were able to return to their sport within an average of a little more than nine months following a hip arthroscopy.

"Arthroscopic hip surgery is an outpatient procedure that can decrease soft tissue trauma and decrease blood loss, leading to a faster recovery period compared to a more invasive open surgery," said study lead investigator Doctor Shane J. Nho.

The study looked at arthroscopic surgical outcomes of 47 high-level, college and professional as well as high school varsity athletes in a wide range of sports including ice hockey, soccer, baseball, swimming, lacrosse, field hockey, football, running, tennis, horseback riding and crew. The average age of patients involved in the study was 23. All patients underwent arthroscopic surgery and were tracked for an average of 16 months to assess their ability to return to a high-level of competitive sport.

Hip arthroscopy is a less invasive outpatient procedure compared to traditional open hip surgery. It is performed by an orthopaedic surgeon who makes small incisions about 1 centimetre each that permits the insertion of a tiny camera in order to visualize the inside of a joint. Small surgical instruments are then used through the incisions to make the repairs.

All patients involved in the study were diagnosed with femoroacetabular impingement (FAI), a condition that occurs when the femoral head of the thigh bone rubs abnormally against the acetabulum, or cup-like socket of the hip joint. This rubbing results in damage to the rim of the hip socket as well as the cartilage that covers the hip bones.

"Some people may be genetically inclined to develop FAI, but many athletes experience early on-set of symptoms of FAI because of their athletic activities require a high degree of motion and force through the joint," said Nho.